Roster Home Care Ltd Derby Office

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

This is the first assessment for this newly registered service. This key question has been rated good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

Relatives told us they were involved in planning their family members care needs and involved in the review process. One relative told us, “They [management] visited my family member at home, and the new manager comes around on a more regular basis to make sure they are alright and last reviewed the package recently.” Another relative said, “The manager came round and had a chat with them and worked out what they wanted. My family member is very happy with them."

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

The provider had carried out assessments of people needs before they began to use the service, to ensure their care needs could be met by the service. Relatives felt the care provided was tailored to individual circumstances.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.

The service worked effectively in partnership with relevant professionals to meet people's needs. An external professional was positive about working with the registered manager when setting up a care package. A staff member told us, “The team works well together, communication is good, and any concerns are listened to and acted upon promptly.”

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

Staff supported people to access healthcare services and attend medical appointments when family members were unable to do so. Relatives told us staff responded appropriately to changes in people’s health and wellbeing and took action to ensure they received the support they needed.

One relative told us staff had accompanied their family member to a medical appointment, helping to ensure they could access the care and treatment required. The same relative explained that when their family member was feeling unwell, the registered manager personally visited to check on their wellbeing. This demonstrated a proactive and person-centred approach to supporting people’s needs.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

Relatives spoke positively about the quality of care provided and told us they were satisfied with the support their family members received. Care plans we reviewed had been reviewed and updated to reflect people’s current needs and preferences. However as identified there were inconsistences with some care records, which the registered manager addressed. This helped to ensure staff had access to accurate and up-to-date information about how people wished to be supported.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

Relatives told us their family members were supported by staff to make choices. A relative told us, “They [staff] ask what my family member would like and encourage them to do the things they can.”

Staff completed Mental Capacity Act (MCA) training and understood the importance of checking peoples consent to their care. Staff supported people in a way that promoted their independence and enabled them to make choices Staff understood the importance of asking people how they wanted to be supported. Comments from staff included, “I explain what I am doing and ask for consent” and “Asking the person what they need support with and making sure they are comfortable.”